Defects after extirpation of either sacral or rectal tumors often present a reconstructive challenge to plastics surgeons. Because of their relative infrequency, management guidelines, in the authors' opinion, have been overlooked. They think that success-ful, comprehensive treatment lends itself to an integrated team approach. They review their experience with immediate recon-struction after total sacrectomy for sacral malignancies performed between 1996 and 2001. Medical records were reviewed retro-spectively for the surgical procedure, postoperative complica-tions, and eventual outcome. A total of 9 patients underwent sacrectomy with a gluteus maximus flap for reconstruction. Six patients had a simultaneous omental flap for complete oblitera-tion of the surgical defect. The authors' experience suggests that this combination of techniques is a reliable approach for recon-struction of these extensive surgical defects.
|Original language||English (US)|
|Number of pages||4|
|Journal||Annals of plastic surgery|
|State||Published - Aug 1 2003|
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